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Prior Authorization Specialist

Prior Authorization Specialist

Las Vegas Urology LLPLas Vegas, NV, USA
12 days ago
Job type
  • Full-time
  • Quick Apply
Job description

This is an exciting opportunity to join a growing and well-respected practice! Las Vegas Urology is seeking a patient-focused, detail-oriented Prior Authorization Specialist to join our team. For decades, our staff has worked together to support multiple clinics throughout the Las Vegas Valley, providing exceptional care and service to our patients.

Benefits :

  • Medical, Dental, Vision & Life Insurance - 100% paid for employee (effective the 1st of the month after 60 days of employment)
  • 401(k) & Profit Sharing - eligibility after 1 year of employment
  • Paid Time Off (PTO) - accrued per paycheck
  • 8 Paid Holidays

Position Summary :

The Prior Authorization Specialist is responsible for contacting insurance companies to obtain authorizations for visits and procedures, entering authorizations into the system, and communicating closely with front office staff and patients to ensure accurate patient responsibility collection. This position also involves phone system operation and maintaining compliance with HIPAA guidelines.

Key Responsibilities :

  • Obtain authorizations for medical visits and procedures
  • Complete and track tasks assigned through EMR systems
  • Communicate with patients regarding financial responsibility prior to visits
  • Collaborate with front office staff to ensure accurate collection at time of service
  • Maintain strict confidentiality and compliance with HIPAA regulations
  • Perform other related duties as assigned

    • Performance Requirements :

  • Strong phone and communication skills with a clear, professional voice
  • Ability to follow oral and written instructions
  • Attention to detail and accuracy in entering information
  • Ability to establish and maintain effective working relationships with patients, staff, and the public

    • Physical Demands :

  • Prolonged sitting with occasional bending, lifting, and stretching
  • Manual dexterity required for computer and phone use
  • Ability to work effectively in a fast-paced and sometimes stressful environment

    • Education & Experience :

  • High School Diploma or GED required
  • Minimum 2 years of medical authorization experience (clinic setting preferred)
  • Knowledge of medical terminology preferred
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    Prior Authorization Specialist • Las Vegas, NV, USA